Abstract Details

Title Obsessive-compulsive Themes in Children with Tic Disorders Differ from Those in the General Pediatric OCD Population

Topic Movement Disorders

Presentation(s) P10 - Poster Session 10 (11:45 AM-12:45 PM)

Poster/Presentation
Number 3-003

Objective This study explored the themes in comorbid obsessive-compulsive manifestations in youth with tic disorders.

Background The Children’s Florida Obsessive Compulsive Inventory (C-FOCI) is a 22-item self-administered obsessive-compulsive disorder (OCD) screening tool (17 item symptom checklist, 5 severity ratings) that has demonstrated validity against the standard clinician interview-based CY-BOCS (The Children’s Yale-Brown Obsessive-Compulsive Scale). Five subdomains have demonstrated validity against CY-BOCS domains (contamination, aggressive/checking, sexual/religious/somatic, symmetry, and hoarding).

Design/Methods We administered C-FOCI to 50 pediatric participants with tic disorders in hopes of exploring which items and themes prevail and how those compare to published data in a general undifferentiated pediatric OCD population.

Results In our tic population, the number of symptoms endorsed ranged (0-12), (M=6.18, SD=5.50), similar to the general OCD population, with (1-13), (M=6.22, SD=3.54) symptoms. The most commonly endorsed obsessions/fears were “losing something valuable” (38.8%), equally “overconcern for keeping objects in perfect order or arranged exactly” and fears of “fire, burglary, or flooding of the house,” (36.7% each), as well as “needing to touch objects or people” (34.7%), falling into the domains of hoarding, symmetry, aggressive/checking, and symmetry, respectively. Two of the three least endorsed items were in the contamination domain, and one in the aggressive domain. This compares to general OCD population, where two of the top 3 items endorsed fell into the "contamination" domain, and the third fell into symmetry obsessions. Additional details will be provided.

Conclusions Children with tic disorders and comorbid obsessive-compulsive symptoms may have different themes of OCD, with more checking/ordering and fear of aggressive events, and fewer contamination themes relative to the general pediatric OCD population. Effective screening for comorbidities may involve targeting questions to address the most prevalent themes.

Authors/Disclosures
Irene Malaty, MD, FAAN (University of Florida) PRESENTER	Dr. Malaty has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Abbvie. Dr. Malaty has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Aevum. The institution of Dr. Malaty has received research support from Abbvie. The institution of Dr. Malaty has received research support from Revance. The institution of Dr. Malaty has received research support from Parkinson Foundation. The institution of Dr. Malaty has received research support from SAGE. The institution of Dr. Malaty has received research support from Emalex. The institution of Dr. Malaty has received research support from Acadia. Dr. Malaty has received publishing royalties from a publication relating to health care. Dr. Malaty has received personal compensation in the range of $500-$4,999 for serving as a Speaker & Center of Excellence Director with Parkinson Foundation. Dr. Malaty has a non-compensated relationship as a MAB member & Center of Excellence Directory with Tourette Association of America that is relevant to AAN interests or activities.
Daniel Ibrahim	No disclosure on file
Heather Simpson Martin (UF Health)	Heather Simpson Martin has received personal compensation for serving as an employee of Tourette Association of America.
Joshua Wong, MD (University of Florida College of Medicine - Neurology)	The institution of Dr. Wong has received research support from NIH.

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